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8 - Quality Assurance of ART Practice: Using Data to Improve Clinical Care

from Section 3 - Using ART Surveillance Data

Published online by Cambridge University Press:  14 June 2019

Edited by
Dmitry M. Kissin ,
G. David Adamson ,
Georgina Chambers  and
Christian De Geyter
Dmitry M. Kissin
Affiliation:
Centers for Disease Control and Prevention, Atlanta
G. David Adamson
Affiliation:
Fertility Physicians of Northern California, Palo Alto
Georgina Chambers
Affiliation:
National Perinatal Epidemiology and Statistics Unit, University of New South Wales, Sydney
Christian De Geyter
Affiliation:
University Hospital Basel
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Summary

Medical registries are frequently used to generate quality measures with the objective of improving the provision of medical care. Assisted reproductive technology (ART) registries can be used in this manner even if they were initially created for other purposes. Aggregate registry outcomes can be used for internal benchmarking purposes by individual programs. This data can also be used for external Quality Assurance purposes to identify programs that are outliers (low success rates or high multiple gestation rates). Collection of detailed cycle specific information allows benchmarking of process measures that can allow easy identification of specific areas for improvement. Ongoing, daily collection and reporting of key performance indicators (e.g. fertilization rates, embryo development rates) can be used to produce Shewart type control charts to promptly identify and remediate issues that could ultimately result in low birth rates or high risk of multiple gestation.

Keywords

assisted reproductive technologyin vitro fertilizationquality assurancequality controlquality managementclinical practiceperformance indicators
Type
Chapter
Information
Assisted Reproductive Technology Surveillance , pp. 69 - 80
Publisher: Cambridge University Press
Print publication year: 2019

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